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Related terms: Total hip replacement, Hip arthroplasty

Getting Active After Knee Replacement Might Raise Hip Fracture Risk

Posted 18 Apr 2016 by Drugs.com

SATURDAY, April 16, 2016 – There could be a downside to knee replacement: As people get more active, their odds for hip and spinal fractures rise, a new study suggests. One expert wasn't surprised by the finding. While the exact reason for the increase in hip and spine fractures isn't clear, it's most likely due "to improved mobility and activity as a result of the knee replacement surgery," said Dr. Caroline Messer, who specializes in bone loss at Lenox Hill Hospital in New York City. "In addition, patients who chose to have the surgery rather than conservative management of osteoarthritis may have been the same individuals who were determined to lead very active and therefore somewhat riskier lifestyles in the future," said Messer, who directs the hospital's Center for Pituitary and Neuroendocrine Disorders. Almost 720,000 total knee replacements are carried out in the United States ... Read more

Related support groups: Hip Replacement, Knee Joint Replacement, Fracture, bone, Compression Fracture of Vertebral Column, Prevention of Fractures

Mediterranean Diet May Help Lower Hip Fracture Risk in Older Women

Posted 28 Mar 2016 by Drugs.com

MONDAY, March 28, 2016 – Eating a Mediterranean diet may at least slightly lower an older woman's risk for hip fracture, a new study suggests. Women who most closely followed a Mediterranean diet – one high in fruits, vegetables, nuts, legumes and whole grains – had a 20 percent lower risk for hip fractures compared to women who didn't follow this regimen, the researchers found. The study couldn't prove cause-and-effect, however. And the researchers stressed that the absolute reduction in risk of a hip fracture for any one woman was still pretty slight – only about a third of one percent. Nevertheless, "these results support the notion that following a healthy dietary pattern may play a role in the maintenance of bone health in postmenopausal women," concluded a research team led by Dr. Bernhard Haring of the University of Wurzburg in Germany. The study was published online March 28 ... Read more

Related support groups: Obesity, Weight Loss, Hip Replacement

Injuries More Common in Teens Who Focus on Single Sport

Posted 28 Mar 2016 by Drugs.com

SATURDAY, March 26, 2016 – High school athletes who focus on a single sport may be at increased risk for knee and hip injuries, a new study suggests. "Make sure your children are getting breaks in competition," said study author David Bell, assistant professor in the Departments of Kinesiology and Orthopedics and Rehabilitation at the University of Wisconsin-Madison. "There are so many great aspects to sports participation and we don't want this information to scare athletes or parents – we just want them to be wise consumers and to participate as safely as possible," he said in a university news release. The study included more than 300 athletes at two high schools, one large and one small. About 36 percent of the athletes had high levels of sports specialization. Nearly 29 percent had moderate specialization, and about 35 percent had low specialization, the researchers said. The ... Read more

Related support groups: Hip Replacement, Knee Joint Replacement, Fracture, bone, Orthopedic Surgery

Acetaminophen Won't Help Arthritis Pain, Study Finds

Posted 18 Mar 2016 by Drugs.com

THURSDAY, March 17, 2016 – Acetaminophen – commonly known as Tylenol in the United States – isn't an effective choice for relieving osteoarthritis pain in the hip or knee, or for improving joint function, a new study finds. Although the drug rated slightly better than placebo in studies, nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) or diclofenac are better choices for short-term pain relief, the researchers said. "Regardless of dose, the prescription drug diclofenac is the most effective drug among painkillers in terms of improving pain and function in osteoarthritis," said lead researcher Dr. Sven Trelle. He's co-director of clinical trials at the University of Bern in Switzerland. However, even diclofenac comes with side effects. "If you are thinking of using a painkiller for osteoarthritis, you should consider diclofenac," Trelle said, but also ... Read more

Related support groups: Pain, Percocet, Vicodin, Norco, Osteoarthritis, Lortab, Tylenol, Ibuprofen, Naproxen, Meloxicam, Acetaminophen, Diclofenac, Advil, Voltaren, Aleve, Mobic, Voltaren Gel, Paracetamol, Fioricet, Motrin

After Hip Replacement, Therapy at Home May Be Effective

Posted 4 Mar 2016 by Drugs.com

FRIDAY, March 4, 2016 – Surgeons often recommend outpatient physical therapy to help hip replacement patients get moving again, but researchers report that a home exercise program may work just as well. Experts say that physical therapy plays a vital role in recovery after hip replacement. And this new study of 77 patients found they obtained similar results no matter which therapy option they pursued after receiving their new hip. "Our research found that the physical therapy does not necessarily need to be supervised by a physical therapist [for hip replacement patients]," said study author Dr. Matthew Austin, director of joint-replacement services at Rothman Orthopaedic Specialty Hospital in Bensalem, Pa. "The expense and time required of outpatient physical therapy, both for the patient and the patient's caretakers, may not be the most efficient use of resources." More than 300,000 ... Read more

Related support groups: Hip Replacement, Deep Vein Thrombosis Prophylaxis after Hip Replacement Surgery, Deep Vein Thrombosis/Pulmonary Embolism Prophylaxis Following Hip Replacement Surgery

Steroid Shot for Hip Pain May Carry Infection Risk If Too Close to Surgery

Posted 2 Mar 2016 by Drugs.com

WEDNESDAY, March 2, 2016 – Patients who've received a steroid injection for hip pain should wait at least three months before having hip replacement surgery, a new study suggests. "The risk of developing an infection after surgery increased significantly in patients who had a hip replacement within three months of receiving a steroid injection," study author Dr. William Schairer, from the Hospital for Special Surgery in New York City, said in a hospital news release. "However, in patients who had a steroid injection and then waited three months or longer to have the surgery, there was no increased risk at all." Steroid injections are widely used to ease pain and inflammation associated with arthritis. These injections can weaken the immune system, which could increase infection risk, the researchers explained. "Hip replacement is a common and safe procedure that relieves pain and ... Read more

Related support groups: Infections, Prednisone, Methylprednisolone, Prednisolone, Hydrocortisone, Cortisone, Dexamethasone, Medrol, Triamcinolone, Hip Replacement, Betamethasone, Budesonide, Decadron, Entocort, Orthopedic Surgery, Fludrocortisone, Solu-Medrol, Entocort EC, Florinef, Cortef

Could Higher Vitamin D Doses Harm Seniors Prone to Falls?

Posted 4 Jan 2016 by Drugs.com

MONDAY, Jan. 4, 2016 – Higher doses of vitamin D don't improve mobility for the elderly, and may actually raise the risk for falls among certain seniors, a new study suggests. The small Swiss study, published in the Jan. 4 issue of JAMA Internal Medicine, doesn't say that vitamin D is harmful in routine doses. And, the researchers say seniors should continue to follow guidelines and make sure they get recommended amounts of the nutrient naturally. However, "don't assume that because something is called a 'vitamin' it means that it is safe," cautioned Dr. Steven Cummings, research scientist with California Pacific Medical Center Research Institute in San Francisco. Cummings is co-author, along with Dr. Douglas Kiel, of a commentary accompanying the study. Vitamin D supplements have been suggested as a way to build muscle strength and thus prevent falls among the elderly, according to ... Read more

Related support groups: Hip Replacement, Caltrate 600 with D, Calcium/Vitamin D, Os-Cal 500 with D, Oysco 500 with D, Citracal + D, Calcium 600 D, Calcet, Oyster Shell Calcium, Calcarb with D, Citracal Creamy Bites, Calcio Del Mar, Os-Cal with D, Dical Captabs, Sedecal D, Oyster Shell Calcium with Vitamin D, Dicalphos plus D, Calcifediol, Caltro with Vitamin D, Oysco D with Calcium

X-Rays May Miss Hip Arthritis, Study Finds

Posted 10 Dec 2015 by Drugs.com

THURSDAY, Dec. 10, 2015 – X-rays don't detect hip arthritis in many patients, resulting in delayed diagnosis and treatment, researchers report. The researchers looked at information from almost 4,500 Americans taking part in two arthritis studies. In one study, only 16 percent of patients with hip pain had X-ray evidence of osteoarthritis in the hip and only 21 percent of those with X-ray evidence of arthritis had hip pain. In the other study, the rates were 9 percent and 24 percent, respectively, according to the findings reported recently in the journal BMJ. "The majority of older subjects with high suspicion for clinical hip osteoarthritis did not have radiographic hip osteoarthritis, suggesting that many older persons with hip osteoarthritis might be missed if diagnosticians relied on hip radiographs to determine if hip pain was due to osteoarthritis," said study corresponding ... Read more

Related support groups: Pain, Suboxone, Oxycodone, Methadone, Hydrocodone, Percocet, Tramadol, OxyContin, Vicodin, Norco, Fentanyl, Morphine, Osteoarthritis, Codeine, Lortab, Opana, Tylenol, Chronic Pain, Ibuprofen, Subutex

Weight-Loss Surgery Often Brings Less Painful Joints: Study

Posted 4 Nov 2015 by Drugs.com

WEDNESDAY, Nov. 4, 2015 – Aching knee and hip joints may hurt less after successful weight-loss surgery, a new study suggests. "In particular, walking is easier, which impacts patients' ability to adopt a more physically active lifestyle," lead researcher Wendy King said in a news release from the ObesityWeek meeting. Weight-loss surgery isn't a "magic bullet" for joint pain for every patient, however. "Some patients continue to have significant pain and disability" even after the operation, said King, who is an associate professor of epidemiology at the University of Pittsburgh's Graduate School of Public Health. King's team was to present the findings Wednesday at the ObesityWeek meeting in Los Angeles, which is hosted by the American Society for Metabolic and Bariatric Surgery and The Obesity Society. In the study, the researchers tracked outcomes for more than 2,200 obese people, ... Read more

Related support groups: Surgery, Obesity, Weight Loss, Hip Replacement, Knee Joint Replacement, Gastric Bypass Surgery, Orthopedic Surgery

Knee Replacement Brings Less Pain, Better Function

Posted 21 Oct 2015 by Drugs.com

WEDNESDAY, Oct. 21, 2015 – Total knee replacement usually results in greater pain relief and better joint function after a year than nonsurgical arthritis treatment, researchers report. But baby boomers shouldn't automatically rule out physical therapy for moderate to severe knee arthritis, the authors of the new study said. "There are nearly 700,000 knee replacements done in the United States each year, but evidence of their benefit has been lacking," said lead author Soren Thorgaard Skou, a researcher in the musculoskeletal function and physiotherapy unit at the University of Southern Denmark in Odense. By 2010, knee replacement had become the leading inpatient surgery performed on adults 45 and over in the United States, according to data from the U.S. National Hospital Discharge Survey. Average age of the recipients was 66. For the study, Skou's team randomly assigned 100 patients ... Read more

Related support groups: Pain, Surgery, Osteoarthritis, Hip Replacement, Knee Joint Replacement, Orthopedic Surgery

Higher-Volume Rehab Centers Better for Hip Fracture Recovery: Study

Posted 2 Oct 2015 by Drugs.com

FRIDAY, Oct. 2, 2015 – Seniors who break a hip receive the best care in skilled nursing facilities with the most experience handling such fractures, a new study suggests. Twenty-five cases a year was the magic number, according to lead author Pedro Gozalo, associate professor of health services, policy and practice at the School of Public Health at Brown University in Providence, R.I., and colleagues. "Even adjusting for a long list of patient risk factors and for important facility characteristics, facilities that had cared for more than two dozen hip fracture patients in the last 12 months were more than twice as likely to successfully discharge patients in a timely manner compared to facilities that had three or less hip fracture admissions," Gozalo said in a university news release. The researchers analyzed the medical records of more than 512,000 patients with broken hips, aged 75 ... Read more

Related support groups: Hip Replacement, Orthopedic Surgery

Obesity Won't Affect Joint Surgery Safety, Study Finds

Posted 2 Oct 2015 by Drugs.com

FRIDAY, Oct. 2, 2015 – Obese and overweight people who have joint replacement surgeries are less likely to need blood transfusions and are no more likely to face complications than normal weight patients, a new analysis finds. "It's a very complex issue," said study co-author Dr. Nolan Wessell, an orthopaedic surgery resident at Henry Ford Hospital in Detroit. "And this finding is somewhat surprising. "But it could just be that larger patients have a larger total blood value," he added. "And therefore lose a lower percentage of their blood than smaller patients during surgery. Essentially, it may be that they have a larger reserve in their tank, and can afford to lose a bit more blood without needing a transfusion. We don't know. But at least conceptually that makes sense." Still, senior study author Dr. Craig Silverton, vice chairman of orthopaedics at Henry Ford, cautioned that more ... Read more

Related support groups: Surgery, Obesity, Hip Replacement, Knee Joint Replacement, Orthopedic Surgery

Hip-Fracture Surgery Risk Not Just Due to Age, Study Finds

Posted 15 Sep 2015 by Drugs.com

TUESDAY, Sept. 15, 2015 – People who need surgery for a broken hip face a higher risk of serious complications and death than those who undergo an elective hip replacement – and the disparity is not explained by fracture sufferers' older age or poorer health, a new study finds. Doctors have long known that hip-fracture surgery is a riskier procedure than elective hip replacements, which are done to treat severe arthritis. "Everyone has recognized that hip-fracture patients are having bad outcomes," said Dr. P.J. Devereaux, the senior researcher on the new study and a professor at McMaster University in Hamilton, Canada. "It's been assumed that it's because they're older and sicker." But his team's study, published in the Sept. 15 issue of the Journal of the American Medical Association, suggests that is not the whole story. "This raises the hope that we don't have to just accept those ... Read more

Related support groups: Surgery, Hip Replacement, Fracture, bone, Orthopedic Surgery, Surgical Prophylaxis

Knee, Hip Replacement Surgeries Linked to Heart Risks

Posted 31 Aug 2015 by Drugs.com

MONDAY, Aug. 31, 2015 – People who have total hip or knee replacement surgery face a greater risk for a heart attack during the first month following the procedure, a new study finds. The chances of a heart attack were more than eight times greater in the first 30 days after total knee replacement surgery compared to people who didn't have the procedure. The risk of a heart attack was four times greater during the month following total hip replacement surgery, the study revealed. But the researchers noted that the findings shouldn't deter people from having these surgeries. "Overall, neither knee or hip replacement increases the risk of heart attack over the entire follow-up period in our study, even though the risk was substantially increased shortly after surgery," he said. "This risk should not keep a patient from having either surgery." Indeed, the odds of a heart attack dissipated ... Read more

Related support groups: Heart Attack, Hip Replacement, Knee Joint Replacement, Myocardial Infarction

Tuning Into Your Favorite Music May Boost Post-Op Recovery

Posted 12 Aug 2015 by Drugs.com

WEDNESDAY, Aug. 12, 2015 – Mozart, Madonna or Eminem: Whatever your taste, music may help you recover from a surgery, according to a new review of data on the subject. "More than 51 million operations are performed every year in the U.S.," lead author Dr. Catherine Meads, of Brunel University in the United Kingdom, said in a news release from The Lancet, which published the findings Aug. 12. "Music is a non-invasive, safe, cheap intervention that should be available to everyone undergoing surgery," she said. "Patients should be allowed to choose the type of music they would like to hear to maximize the benefit to their well-being." The only caveat: "Care needs to be taken that music does not interfere with the medical team's communication," Meads said. In their research, her team reviewed data from 72 studies that included nearly 7,000 patients. The investigators found that listening ... Read more

Related support groups: Surgery, Hip Replacement, Knee Joint Replacement, Orthopedic Surgery, Head & Neck Surgery, Surgical Prophylaxis, Vascular Surgery, Gastrointestinal Surgery, Cardiothoracic Surgery

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